Parenting Plan Form

Practical Note # 1: A copy of a blank parenting plan form is as follows:

__________________COUNTY SUPERIOR COURT

STATE OF GEORGIA

__________________

)

Plaintiff,

) Civil Action

) Case Number ________________

vs.

)

)

________________

)

Defendant.

)

PARENTING PLAN

( ) The parties have agreed to the terms of this plan and this information has been furnished by both

parties to meet the requirements of OCGA Section 19-9-1. The parties agree on the terms of the plan and affirm the accuracy of the information provided, as shown by their signatures at the end of this order.

( ) This plan has been prepared by the judge.

This plan

( ) is a new plan.

( ) modifies an existing Parenting Plan dated ___________.

( ) modifies an existing Order dated __________________.

Child’s Name

Date of Birth

I. Custody and Decision Making:

A. Legal Custody shall be (choose one:)

( ) with the Mother( ) with the Father( ) Joint

B. Primary Physical Custodian

For each of the children named below the primary physical custodian shall be:

d/o/b:( ) Mother( ) Father( ) Joint

d/o/b:( ) Mother( ) Father( ) Joint

d/o/b:( ) Mother( ) Father( ) Joint

d/o/b:( ) Mother( ) Father( ) Joint

d/o/b:( ) Mother( ) Father( ) Joint

WHERE JOINT PHYSICAL CUSTODY IS CHOSEN BY THE PARENTS OR ORDERED BY THE COURT, A DETAILED PLAN OF THE LIVING ARRANGEMENTS OF THE CHILD(REN) SHALL BE ATTACHED AND MADE A PART OF THIS PARENTING PLAN.

C. Day-To-Day Decisions

Each parent shall make decisions regarding the day-to-day care of a child while the child is residing with that parent, including any emergency decisions affecting the health or safety of a child.

D. Major Decisions

Major decisions regarding each child shall be made as follows:

Educational decisions

( ) mother ( ) father ( ) joint

Non-emergency health care

( ) mother ( ) father ( ) joint

Religious upbringing

( ) mother ( ) father ( ) joint

Extracurricular activities

( ) mother ( ) father ( ) joint

_____________________

( ) mother ( ) father ( ) joint

_____________________

( ) mother ( ) father ( ) joint

E. Disagreements

Where parents have elected joint decision making in Section I.D above, please explain how any disagreements in decision-making will be resolved.

_______________________________________________________________

_______________________________________________________________

_______________________________________________________________

_______________________________________________________________

II. Parenting Time/Visitation Schedules

A. Parenting Time/Visitation

During the term of this parenting plan the non-custodial parent shall have at a minimum the following rights of parenting time / visitation (choose an item):